How much rates vary
Facilitymedian $776 · 10th to 90th $200 to $6,607Professionalmedian $219 · 10th to 90th $174 to $372
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $218.78 Median $3,801.89 Typical High $8,511.38 | Facility | None | $218.78 | $3,801.89 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $218.78 | Professional | None | $173.78 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $87.10 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $43.65 | Professional | 53 · Discontinued | $35.48 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $144.54 Typical High $162.18 | Professional | 54 · Surgery only | $131.83 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $28.84 Typical High $32.36 | Professional | 55 · Aftercare only | $26.30 | $28.84 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.50 Typical High $21.88 | Professional | 56 · Pre-op care only | $17.38 | $19.50 | $21.88 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $380.19 | Professional | None | $186.21 | $295.12 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $794.33 Typical High $7,585.78 | Facility | None | $60.26 | $794.33 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $380.19 | Professional | None | $169.82 | $204.17 | $380.19 |
Emblem Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | None | $239.88 | $239.88 | $288.40 |
Geisinger Setting Professional Modifier None Typical Low $177.83 Median $239.88 Typical High $398.11 | Professional | None | $177.83 | $239.88 | $398.11 |
Martin's Point Setting Facility Modifier None Typical Low $537.03 Median $3,801.89 Typical High $8,709.64 | Facility | None | $537.03 | $3,801.89 | $8,709.64 |
Martin's Point Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $218.78 | Professional | None | $173.78 | $199.53 | $218.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $87.10 | $97.72 | $107.15 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $43.65 | Professional | 53 · Discontinued | $35.48 | $38.90 | $43.65 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $144.54 Typical High $162.18 | Professional | 54 · Surgery only | $131.83 | $144.54 | $162.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $28.84 Typical High $32.36 | Professional | 55 · Aftercare only | $26.30 | $28.84 | $32.36 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.50 Typical High $21.88 | Professional | 56 · Pre-op care only | $17.38 | $19.50 | $21.88 |
Oscar Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $380.19 | Professional | None | $239.88 | $239.88 | $380.19 |
UPMC Health Plan Setting Facility Modifier None Typical Low $181.97 Median $316.23 Typical High $316.23 | Facility | None | $181.97 | $316.23 | $316.23 |
UPMC Health Plan Setting Professional Modifier None Typical Low $181.97 Median $190.55 Typical High $316.23 | Professional | None | $181.97 | $190.55 | $316.23 |
United Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $4,265.80 | Facility | None | $199.53 | $562.34 | $4,265.80 |
United Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $389.05 | Professional | None | $190.55 | $245.47 | $389.05 |
Where Pennsylvania sits
The same service costs 3.8 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 38th of 51
$240
AK $741NY $195
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.